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WP0040110
Environmental Health - Public
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4200/4300 - Liquid Waste/Water Well Permits
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WP0040110
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Entry Properties
Last modified
3/24/2020 1:18:30 PM
Creation date
3/24/2020 1:10:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4200/4300 - Liquid Waste/Water Well Permits
RECORD_ID
WP0040110
PE
4380
STREET_NUMBER
17327
Direction
S
STREET_NAME
VAN ALLEN
STREET_TYPE
RD
City
ESCALON
Zip
95320-
APN
20508025
ENTERED_DATE
9/23/2019 12:00:00 AM
SITE_LOCATION
17327 S VAN ALLEN RD
P_LOCATION
99
P_DISTRICT
004
QC Status
Approved
Scanner
TSok
Tags
EHD - Public
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-= CHAIN OF CUSTODY <br /> 619 Special www.fgUnc.com <br /> °k Customer Copy (2 of 3) 4 <br /> ��IIIII�IIIII,II VIII II III 35730:02/06/2017 TEST DESCRIPTION See Reverse side -'.)r Container, Preservative and Sampling information <br /> Client: San Joaquin County EHD <br /> Address: San Joaquin Co. Environmental Health Dep <br /> Water Quality Division 3 a <br /> Attn: Rodney Estrada x <br /> 1868 East Hazelton Ave. <br /> Stockton.CA 95205 3 b <br /> Phone: (209)468-0331 Fax: x <br /> Contact Person: Rodney Estrada 4 <br /> Project Name: <br /> Purchase Order Number: 3 w <br /> Quote Number: ST 20160309-01 rsa ¢ v a <br /> N E o H <br /> Sampler(s) o vwi z > O Q <br /> U * °' a 0. O <br /> Sampling Fee: Pickup Fee: o ?<„ o <br /> Compositor Setup Date:_/ / Time: / Z O a o Z w Q E— <br /> Lab Number: STK 3-17919 0 w a T E a a a <br /> 0 0 E C4S <br /> Sam Date Time e T o E E D a <br /> Num Location Description tion Sam led Sampled �' "° <br /> P P w O O-- 0 <br /> 1 G DW <br /> Remarks: Relinquished Date: Time: Relinquished Date: Time: Relinquished Date: Time: <br /> Received By: Date: Time: Received By: Date: Time: Received By: Date: Time: <br /> Corporate Offices&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory Office&Laboratory <br /> 853 Corporation Street 2500 Stagecoach Road 563 E. Lindo 3442 Empresa Drive,Suite D 9415 W.Goshen Avenue <br /> Santa Paula,CA 93060 Stockton,CA 95215 Chico,CA 95926 San Luis Obispo,CA 93401 Visalia,CA 93291 <br /> Phone:(805)392-2000 Phone:(209)942-0182 Phone: (530)343-5818 Phone:(805)783-2940 Phone:(559)734-9473 <br /> Env Fax: (805)525-4172/Ag Fax:(805)392-2063 Fax: (209)942-0423 Fax:(530)343-3807 Fax:(805)783-2912 Fax:(559)734-8435 <br />
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